Falls remain one of the most serious health challenges facing older adults in the Hill Country, and their impact is felt every day in our emergency department. For adults 65 and older, falls are the number one cause of traumatic injury, emergency room visits, hospital stays and injury related deaths.
This isn’t just a local concern. Across the United States, falls have become the leading cause of injury and injury related death for older adults. More than 14 million people over 65, about one in four, report falling each year. Many of these incidents happen during routine daily activities: catching a toe on a rug, slipping on a wet floor or losing balance on uneven ground. Even these low level falls can lead to broken hips, head injuries, long recovery periods and, for many, a loss of independence.
A Growing National Problem The rise in fall related injuries has accelerated sharply over the past decade. The National Safety Council reports:
• 41,400 adults age 65+ died from preventable falls in 2023, a 53% increase in 10 years.
• Emergency department visits for fall injuries have climbed 43% in that same time.
Long term data from the Centers for Disease Control and Prevention shows the trend is affecting every age group within the older adult population:
• A 70% increase in fall related deaths among adults 65-74
• A 75% increase among those 75-84
• More than double the rate for adults 85 and older Why Falls Occur
Most falls don’t have a single cause. They usually stem from a mix of factors, including:
• Changes in balance, strength or mobility that come with age
• Chronic conditions such as diabetes, neuropathy, arthritis or memory decline
• Medications that cause dizziness, drowsiness or low blood pressure
• Home hazards like dim lighting, cluttered walkways or unsecured rugs Recognizing these risks is an important first step in preventing injuries.
Practical Ways to Lower Fall Risk The good news: Many falls can be prevented with simple, consistent habits that support strength, stability and safety.
Stay physically active. Activities like walking, tai chi or gentle stretching help maintain balance and muscle strength.
Keep up with vision and hearing checks. Even small changes in eyesight or hearing can affect balance.
Review medications regularly. Ask your doctor or pharmacist whether any prescriptions may increase fall risk.
Make the home safer.
• Clear walkways and remove loose rugs
• Add grab bars in bathrooms
• Improve lighting in hallways and stairwells
• Use nonslip mats in areas that get wet Choose supportive footwear. Shoes with good traction and a secure fit can make a big difference.
Working Together to Protect Independence Falls don’t have to be an expected part of aging. With awareness and prevention, we can help older adults in San Saba and the surrounding communities stay active, independent and safe.
If you or someone you care about is worried about falling, the team at Baylor Scott & White Medical Center – Marble Falls offers assessments, education and resources to help reduce risk. Together, we can create a safer environment for every older adult in the Highland Lakes region.